Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $2,145.78 / $7,838.38	Facility		$159.74	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $143.77 / $208.79	Professional		$105.68	$143.77	$208.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,740.37 / $4,469.18	Facility		$1,112.02	$2,740.37	$4,469.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $149.40 / $213.75	Professional		$75.97	$149.40	$213.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.22 / $109.22 / $185.16	Facility		$109.22	$109.22	$185.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $178.37 / $257.41	Professional		$123.46	$178.37	$257.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.03 / $218.03	Professional		$32.34	$41.03	$218.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.09 / $146.97 / $203.26	Facility		$107.09	$146.97	$203.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.94 / $333.90	Professional		$128.82	$204.94	$333.90
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $211.50 / $312.49	Professional		$148.41	$211.50	$312.49